orders for opioids and opioid alternatives, complete listing of pain diagnoses treated with opioid and opioid alternatives, buprenorphine administration, individual rates of opioid alternatives prescribed, urine toxicology screening for substance use disorders (SUD) as well as the opioid alternative retention rates. The datasets were cross-tabulated into specific project performance measures and categories to evaluate the analgesic prescribing practices for pain patients in the ED. These datasets were further reorganized to develop user-friendly dashboards for the ED providers to help contextualize the analgesic orders placed in the ED and at discharge.Results: In the first quarter post-project implementation, between December 1st, 2020, and February 28th, 2021, 31.6% (n¼6615) of all patients (n¼20, 905) presented to the ED with pain conditions. Out of 5,371 patients medically treated for pain conditions in the emergency setting, 30.4% received opioids, while 69.6% received opioid alternatives including non-pharmacological modalities. The data showed a 45.1% and 35% reduction in ED opioid orders and discharge prescriptions, respectively compared to baseline between September 1st, 2020 to November 30th, 2020. The ED usage rates of IV Fentanyl, oxycodone, and hydromorphone decreased by 18.7%, 88.9% and 100%, respectively, while Morphine Sulfate Immediate Release (MSIR) Tablets usage increased by 9%. Non-opioid alternatives, namely NSAIDs, were utilized 44.7% of the time, and local anesthetics were used 28.0% of the time.Conclusion: We demonstrated the overall decrease in the use of opioids during the post-implementation period though through the effective use of clinical informatics by analyzing current analgesic practices in the ED.
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